TY - JOUR
T1 - Decubitus ulcers
T2 - A review of the literature
AU - Bansal, Cheryl
AU - Scott, Ron
AU - Stewart, David
AU - Cockerell, Clay J.
PY - 2005/10
Y1 - 2005/10
N2 - Decubitus ulcers are a worldwide health care concern affecting tens of thousands of patients and costing over a billion dollars a year. Susceptibility to pressure ulcers comes from a combination of external factors (pressure, friction, shear force, and moisture), and internal factors (e.g. fever, malnutrition, anaemia, and endothelial dysfunction). Often, enough damage is done to create the basis for a decubitus ulcer after as little as 2 h of immobility, a situation which may be difficult to avoid if the patient must undergo prolonged surgery or remain bedridden. Damage owing to pressure may also occur hours before the patient receives medical attention, especially if the patient falls or becomes immobilized owing to a vascular event. Several classification systems for decubitus ulcers have been described, based on where injury first occurs. The histologic progression of decubitus ulcers is a dynamic process involving several stages, each having characteristic histologic features. A team-focused approach integrating all aspects of care, including pressure relief, infection control, nutrition, and surgery, may improve healing rates. With accurate risk assessment and preventative care, we can hope to minimize complications and mortality owing to decubitus ulcers.
AB - Decubitus ulcers are a worldwide health care concern affecting tens of thousands of patients and costing over a billion dollars a year. Susceptibility to pressure ulcers comes from a combination of external factors (pressure, friction, shear force, and moisture), and internal factors (e.g. fever, malnutrition, anaemia, and endothelial dysfunction). Often, enough damage is done to create the basis for a decubitus ulcer after as little as 2 h of immobility, a situation which may be difficult to avoid if the patient must undergo prolonged surgery or remain bedridden. Damage owing to pressure may also occur hours before the patient receives medical attention, especially if the patient falls or becomes immobilized owing to a vascular event. Several classification systems for decubitus ulcers have been described, based on where injury first occurs. The histologic progression of decubitus ulcers is a dynamic process involving several stages, each having characteristic histologic features. A team-focused approach integrating all aspects of care, including pressure relief, infection control, nutrition, and surgery, may improve healing rates. With accurate risk assessment and preventative care, we can hope to minimize complications and mortality owing to decubitus ulcers.
UR - http://www.scopus.com/inward/record.url?scp=27544490609&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=27544490609&partnerID=8YFLogxK
U2 - 10.1111/j.1365-4632.2005.02636.x
DO - 10.1111/j.1365-4632.2005.02636.x
M3 - Review article
C2 - 16207179
AN - SCOPUS:27544490609
SN - 0011-9059
VL - 44
SP - 805
EP - 810
JO - International Journal of Dermatology
JF - International Journal of Dermatology
IS - 10
ER -